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Dr. Rhian Young, ND
Dr. Jamie Kimball
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ICON Laser
TempSure Envi
TempSure Vitalia
Acupuncture
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Patient Intake Forms
Please print the necessary forms and have them filled-out and ready upon your first office visit.
**Or sign up on Patient Ally to fill them out online!
https://www.patientally.com/
Simply ask the front desk to send an invitation to join.
Adult Intake Forms
Adult New Patient Intake Form
2023 Insurance Documents
2023 Medical Records Request
Pediatrics
Pediatrics Bundle 2-12
Pediatrics Bundle 13-18